Ottumwa Health Group LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

OTTUMWA HEALTH GROUP LLC

Doing business as

Ottumwa Walk In Clinic

Practice address

1255 Theatre Dr
Ottumwa, IA 52501-3772

Phone

(641) 684-2551

NPI assigned

May 6, 2020

Last updated

Sep 26, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charlotte Lawrence

Title

Secretary

Phone

(615) 920-7000

Specialties & licenses 1

Addresses

Other names 1

• Ottumwa Walk In Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Ottumwa Health Group LLC

  dba Ottumwa Women's Health Clinic

  • Rural Health Clinic/Center
  • Ottumwa, IA
  • NPI 1336919364

  O20100927001257

  Same enrollment
• Ottumwa Health Group LLC

  • Gynecology Physician
  • Ottumwa, IA
  • NPI 1386956290

  O20100927001257

  Same enrollment
• Ottumwa Health Group LLC

  dba Ottumwa Primary Care Clinic

  • Rural Health Clinic/Center
  • Ottumwa, IA
  • NPI 1639861990

  O20100927001257

  Same enrollment
• Ottumwa Health Group LLC

  dba EasyCare Walk In Clinic

  • Rural Health Clinic/Center
  • Ottumwa, IA
  • NPI 1649891722

  O20100927001257

  Same enrollment
• Ottumwa Health Group LLC

  dba The Eddyville Clinic

  • Rural Health Clinic/Center
  • Eddyville, IA
  • NPI 1962023663

  O20100927001257

  Same enrollment

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1801417449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 THEATRE DR",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013772",
            "telephone_number": "641-684-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTUMWA HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ottumwa Walk In Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ottumwa Walk In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ottumwa Health Group LLC
• Ottumwa Health Group LLC (Ottumwa Women's Health Clinic)
• Ottumwa Health Group LLC
• Ottumwa Health Group LLC (Ottumwa Primary Care Clinic)
• Ottumwa Health Group LLC (EasyCare Walk In Clinic)
• Ottumwa Mental Wellness Center
• Ottumwa Neurological Associates, PC
• Ottumwa Obstetrics and Gynecology, P.C.
• Ottumwa Psychiatric Clinic PC
• Ottumwa Regional Health Center Inc (ORHC Clinics)

• Rural Health Clinic/Center in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Rural Health Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.